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NPI Code Detail

MEDICARE: BARBARA FREEMAN

MEDICARE:   BARBARA  FREEMAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical NurseIL

General Provider Information

NPI Number : 1396920534
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA FREEMAN
Provider Business Mailing Address
First Line : 10212 S WALDEN PKWY APT B2
Second Line :
City : CHICAGO
State : IL
Zip : 60643-2044
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10212 S WALDEN PKWY APT B2
Second Line :
City : CHICAGO
State : IL
Zip : 60643-2044
Country : US
Telephone Number : 773-779-3130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2008
Last Update Date : 01/07/2008

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Directions to “ BARBARA FREEMAN ” Practice Location

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